| NPI | 1598255366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY BUCKNER Manager 480-879-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |